As an early registrant, you have the opportunity to enroll in our Foundations of Student-Centered Coaching course for a reduced price. Visit our webpage for more information on our online Student-Centered Instructional Coaching Certificate Program as well as our Literacy and Math Content-Focused Courses and Certificate option.

Session Date(s):

July 7- August 10, 2019

Location:

Online

Registrant Information

Please fill out the information below for the person who will be attending the event.

First Name*:

Last Name*:

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For tax purposes, please indicate payment method*:

I am paying for this opportunity personally.An organization or school (third party) is paying for this opportunity

If you require any special accommodations, please describe them below. Any information provided will be kept confidential.

Additional Information

Please read the policies listed below. By clicking the “Submit Registration” button at the bottom of the page, you acknowledge that you have read and agree to these policies.

Cancellation/Refund Policy: All payments are final. If you have a question about your payment, please contact UW-Madison Professional Learning and Community Education at conferences@education.wisc.edu or (608) 263-5140.

Privacy Statement: UW-Madison Professional Learning and Community Education does not sell, rent, trade or distribute any personally identifiable information obtained from clients to a third party, except in cooperation with government agencies, or as required by law. Information collected by UW-Madison Professional Learning and Community Education is used for the administrative and operational purposes of our services.

Doing Business As: Your credit card statement will show the Doing Business as name as UW-Madison Professional Learning and Community Education.

Your Privacy Responsiblities and Rights (FERPA): The University of Wisconsin-Madison expects that you will respect the rights of instructors and other students as you participate in the educational process.

Participating in this online learning opportunity means that you may have access to personal information and academic work produced by other learners and instructors. These may include class lists, discussion board postings, essays, and other work produced.

Federal law and UW-Madison policy require that you must not reveal any information about fellow learners, course work content, or its authors to anyone outside the course. If you have any questions regarding your privacy rights, contact the Office of the Registrar by calling (608) 262-3811 and/or visiting http://www.registrar.wisc.edu and clicking on 'Student Privacy Rights & Responsibilities (FERPA)'.

From time to time UW-Madison Professional Learning and Community Education (PLACE) uses photographs of event participants in our promotional materials. By virtue of your attendance at PLACE events, we reserve the right to use your likeness in our written publications, videos, and/or website, unless you have specifically denied such permission.

PLACE will not sell or otherwise use this material for commercial purposes. Please note that it is your responsibility to avoid being photographed in large group pictures during events. If you do not want us to use your likeness in our promotional materials, please contact Matthew Freid at freid@wisc.edu.